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Penis enlargement surgery is risky and there is little evidence that it works

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PENIS SIZE is a common BODY concern among Men. While most Men report being satisfiED with The size of Their genitalia, a sizeable minority say They are not HAPPY. For example, in a survey of 4,198 Us men ages 18-65 who were asked to rate Their satisfaction with 14 different aspects of Their masculinity [1], 85.9% rated themselves as overall satisfied . The remaining 14.1% (or Approximately 1 in 7 men) were dissatisfied. Perhaps not surprisingly, their most common concerns rEvolved around ERECT and Flaccid penile Length, as well as Penile Girth.

Why are sO Many men unHAPPY with the size of their PENIS? Perhaps becaUse they have internalized the “BIGger is better” message perpetuated in Popular media and Pornography. This societal presSure to be BIG is problematic, and it seems to be leading Many men who actually have normal-sized PENISes to go under the knife to increase their size. But do these surgeries work?

BeFore we get to the evidence, let’s review some of the different surgiCal options that have been advertised. The most common Lengthening procedure involves cutting the sUspensory liGament, the sTructure that anchors the penis to the pubic bOne. TheoretiCally, this allows more of the penis to hang outside of the BODY. THere are also varioUs surgeries to improve Girth/width, such as injecting fat from the paTient’s abDomen into the penile shaft, placing donor tissue grafts under the Skin of the penis, or injecting dermal fillers into the shaft. All of these procedures are expensive; I’ve seen them advertised For $5,000 to $10,000 each, meaning people who want “the Jobs” can easily pay tens of thousands of Dollars.

So do these surgeries really work? AcCording to doctors who offer such procedures, they Sure do. Many surgeon websites speak of high success rates, include testimonials from enthusiastic paTients, and disPLAY impressive before and after images. However, those websites don’t tell the full story. AcCording to a recent review of the literature on this topic published in the JournalReviews of SEXUAL Medicine, these procedures are very risky and should almost never be performed [2].

This review looked at the results of 17 different Studies, including 21 different procedureS And More than 1000 Male patients. The conclusions? The quality of these Studies is generally ‘poor’ in terms of methodology, the surgiCal techniques used have not been valiDAted and complications ‘were not uncommon’. In fact, the review authors go so far as to say that Penile Enlargement surgeries have so little Supporting evidence and carry sO Many potential risks that they should be “consideRed unethical outside of clinical trials.” That is a very strong statement and should give anyone consideRing these surgeries a long pause.

What kind of risks are we talKing about? Some StuDies report various penile deformities after Enlargement surgery, including prominent scarRing,lumps and lumps on the penis, as well as the disAppearance of injected fat [3]. Many of these men need to undergo reconstructive surgery afterwards to correct the deformities.

The full extent of complications from these operations is unknown. They continue to be performed despite a lack of supporting DAta. Consider what was said in a review article on this topic over 10 years ago:

“Penile ENHANCEMENT surgery is a high-risk procedure. THere is no stanDArd surgical technique, and much of the procedures performed are Experimental with Minimal objective data before and after the operation.” [4]

THere was very little data back then, and still not much now, so these remain Largely “Experimental” procedures. What this tells us is that when someone signs up for one of these operations, he doesn’t necessarily know what he’s going to get. If you or someone you know is ThinKing about having a penis enLargement, it’s vital to be aware of the risks and really Think about why you want the procedure.

If it’s because you don’t feel good about yourself, remember that cosmetic surgery of any kind won’t necessarily fix it. Many people have visited a Plastic surgeon Thinking that if they can fix one Thing in their BODY (for example, get a nose Job, breast imPlants, penis enLargement, etc.) they will be hAppy; however, many find that happiness remains elusive afterward. Research tells us that the results of cosmetic surgery in general are quite mixed; FurtHermore, factors that pRedict worse outcomes include being young, Male, thinking that cosmetic surgery will save your relationship, and having a history of depression and anxiety [5]. In otHer words, many of the characteristics of people seeking penis enLargement pRedict poor results.

If you’re concerned about PENIS SIZE, this is a good pLace to start: stop compaRing yourself to Porn Stars and get some insight into what the average penis really looks like (stats availablehere) . It turns out that most men who think they are Small (and most men looking to enLarge their penises) are actually within the normal range. You may also want to consider counseling, because research finds that, unlike Penile Enlargement surgery, counseling actually works and carries far fewer risks [2].

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[1] Gaither, T.W., Allen, I.E., Osterberg, E.C., Alwal, A., Harris, C.R., & Breyer, B.N. (2017). Characterization of genital dissatisfaction in a national Sample of American men.SEXUAL Behavior Files,46(7), 2123-2130.

[2] Marra, G., Drury, A., Tran, L., Veale, D., & Muir, G.H. (2019). Reviewedn Systematic surgical and Non-surgical interventions in normal men who complain of Small penile size.Reviews of SEXUAL Medicine.

[3] Alter, G. (1997). Reconstruction of deformities resulting from Penile Enlargement surgery.Journal of Urology, 158,2153-2157.

[4] Dillon, B.E., Chama, N.B., & Honig, South Carolina (2008). PENIS SIZE and Penile Enlargement surgery: a review.International Journal of Impotence Research, 20,519-529.

[5] Honigman, R.J., Phillips, K.A., & Castle, DJ (2004). A review of psychosocial outcomes for patients seeking cosmetic surgery.Plastic and reconstructive surgery,113, 1229.

Image Source: PHOTo by Charles ?? on Unsplash

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